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4. PLEASE READ: A minimum TWO (2) week notice is required if requesting a visit from the Fire Truck and/or a Community Police Officer.
   A minimum one week notice is required for street closing only.

6. Contact Information
8. Contact Person (First and Last Name)*
9. Email Address*
11. Phone Number*
12. Address
14. City
15. State
16. Zip Code
18. Block Party Information
20. Date of Block Party*
    Date of Block Party
21. Time of Block Party*
    Time of Block Party Start Time

    —

    Time of Block Party End Time

    All Block Parties should end and have barricades removed by 9:00 p.m.

23. Party Location*

    Please be as specific as possible.

24. Which street(s) would you like closed?*

    Please be as specific as possible (i.e. W 12th Street between Maple Ave and Pine Ave).

26. Estimated Number of People*
27. Is this the first time your block has held a Block Party?

    1. Yes

    1. No
29. Party Theme or Special Features
31. Would you like the following at your Block Party?

    1. Barricades (will be delivered to contact person's address)
    2. If available, a visit from the Fire Truck
    3. If available, a visit from a Community Police Officer (unavailable Sundays)

    Requests which include a requested visit from the Fire Truck and/or Community Police Officer must be received by the City of Holland with a TWO (2) week notice before the event.
    A minimum seven (7) day notice is required for barricades only.

    Disclaimer: There is no guarantee Police and Fire vehicles will be able to attend. Also, it is to be noted, if they are attending your event and an emergency arises they will need to leave. We will forward your request to the appropriate department and honor as many requests as possible, barring no emergencies.

    For details on Operation Polar Patrol, visit this webpage.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field